Provider Demographics
NPI:1861049959
Name:MDF LLC
Entity type:Organization
Organization Name:MDF LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOND
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:844-322-4222
Mailing Address - Street 1:509 S CHERRY GROVE AVE STE C
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-4235
Mailing Address - Country:US
Mailing Address - Phone:844-322-4222
Mailing Address - Fax:443-400-0509
Practice Address - Street 1:509 S CHERRY GROVE AVE STE C
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-4235
Practice Address - Country:US
Practice Address - Phone:844-322-4222
Practice Address - Fax:443-400-0509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-22
Last Update Date:2019-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care